| Maximum per sickness/injury | $100,000 |
| Co-insurance in network | 80% |
| Co-insurance out-of-network | 60% |
| Out of pocket in network | Unlimited |
| Co-pay in ER (waived if admitted) | $350 |
| Co-pay in SHC | $5 |
| Co-pay hospitalization | $0 |
| Pre-existing condition waiting period | N/A |
| Preventative care | Direct-billing |
| Medical evacuation | 80% URC-Up to $50,000 |
| Repatriation | 80% URC-Up to $25,000 |